Sample Form 13: Additional Insured – Permits or Authorizations
|State or Governmental Agency or Subdivision or Political Subdivision -||Must show the name of the additional insured or "by contract". Not acceptable if left blank.|
|Section II - Who is An Insured -|
We are protected only if we issued a permit or other authorization.
We are not protected if the permittee is doing work FOR us. For that we need Sample Form 4 & 5.